| NPI | 1215290192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA OP60930973) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 02004288A) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 02004288A) | |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2021-06-16 |